← CMS Doctors and Clinicians

ETINOSA OTAGHO, PA

PHYSICIAN ASSISTANT · FOREST HILLS, NY

Provider

NPI
1538717103
Credential
PA
Primary specialty
PHYSICIAN ASSISTANT
Gender
Male
Medical school
MERCY COLLEGE
Graduation year
2019

Practice

Address
10201 66TH RD, FOREST HILLS, NY 113752029
Phone
7188304000
Accepts Medicare
Yes (individual)
Telehealth
No

Source

Authoritative
NPI Registry
Machine
JSON-LD · Markdown